Terri Ann Sullivan-Macias, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA11279 Issued in CA

Practice address

1723 W Ball Rd
Anaheim, CA 92804-5502

Phone

(714) 635-0363

NPI assigned

Feb 4, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• California Medical Care, Inc.

  • Primary Care Clinic/Center
  • Anaheim, CA
  • NPI 1508192808
  NPD (past)
• Consultants for Concept Development

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1982886230
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215075841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9888 RAVARI DR",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303553",
            "telephone_number": "714-827-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 W BALL RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045502",
            "telephone_number": "714-635-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN-MACIAS",
        "first_name": "TERRI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA11279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Juhyuk Suk, MD
• Kibong Suk, LAC
• Janki Sukhadia, PA-C
• Jenny Sulaiman, LPCC
• Shavonni Sulcer
• Andrew Sullivan
• August Sullivan
• Brandon Kai Sullivan, RADT
• Bryce Sullivan
• Kevin Sullivan

• Medical Physician Assistant in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.